| Intracranial arterial aneurysm: from diagnosis to treatment. A retrospective study of 46 surgically treated cases | |
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MedLine Citation:
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PMID: 10095841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The authors report a series of 46 patients operated for an intracranial aneurysm from January 92 to January 96 in Hôtel-Dieu de France. There were 28 males and 18 females ranging from 22 to 69 years. Forty-four patients presented a typical clinical pattern of subarachnoid haemorrhage. In 20 cases (45%), correct diagnosis was not made at the time of bleeding but at another outpatient visit or at a bleeding recurrence. Cerebral angiography was performed in all our patients. The most frequent aneurysmal location was at the anterior communicating artery (n = 20). Surgical total exclusion of the aneurysm was possible in 45 patients. Forty-one patients had a favourable outcome but three presented important neurological sequelae. We encountered 2 postoperative deaths due to irreversible arterial vasospasm. These results suggest that the preoperative neurological state and the occurrence of an arterial vasospasm are the main prognostic factors of the intracranial aneurysm. Early diagnosis and treatment allow to avoid rebleeding, mostly responsible of the poor neurological status, and to better manage the arterial vasospasm in order to improve the outcome. |
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Authors:
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E Samaha; T Rizk; G Nohra; G Mohasseb; N Okais |
Publication Detail:
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Type: Comparative Study; English Abstract; Journal Article |
Journal Detail:
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Title: Le Journal médical libanais. The Lebanese medical journal Volume: 46 ISSN: 0023-9852 ISO Abbreviation: J Med Liban Publication Date: 1998 May-Jun |
Date Detail:
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Created Date: 1999-04-21 Completed Date: 1999-04-21 Revised Date: 2008-02-15 |
Medline Journal Info:
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Nlm Unique ID: 0375352 Medline TA: J Med Liban Country: LEBANON |
Other Details:
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Languages: fre Pagination: 122-5 Citation Subset: IM |
Affiliation:
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Service de Neurochirurgie de l'Hôtel-Dieu de France. |
Vernacular Title:
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L'anévrisme artériel intracrânien: du diagnostic au traitement. Etude rétrospective de 46 cas opérés. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Cerebral Angiography Female Humans Intracranial Aneurysm* / diagnosis, surgery Male Middle Aged Prognosis Subarachnoid Hemorrhage / diagnosis, surgery Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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